TITLE

Medicare regions please large insurers, but

AUTHOR(S)
Wechsler, Jill
PUB. DATE
January 2005
SOURCE
Managed Healthcare Executive;Jan2005, Vol. 15 Issue 1, p10
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article reports that the scheme devised by the Centers for Medicare and Medicaid Services (CMS) for dividing the nation into regions for offering Medicare preferred provider organizations (PPOs) and prescription drug plans is drawing criticism on all sides. This probably means that CMS did a reasonable job. At the same time, CMS tried to keep regions small enough so that plans would not be overwhelmed when signing up seniors and providing required services by the January 2006 start-up date.
ACCESSION #
15621969

 

Related Articles

  • Drug Spending Soars. Wechsler, Jill // Pharmaceutical Executive;Apr2006, Vol. 26 Issue 4, p26 

    The article forecasts the increase in prescription drugs' expenditure in 2015 by the economist at the Centers for Medicare and Medical Services in the U.S. Rising disposable income, Medicare Part D drug plan implementation, increasing physician payments and drug price growth are among the...

  • CMS to scrutinize Medicare formularies. Wechsler, Jill // Managed Healthcare Executive;Jan2005, Vol. 15 Issue 1, p13 

    The article reports that the U.S. Centers for Medicare and Medicaid Services (CMS) will scrutinize medicare formularies. In evaluating and approving proposals from medicare prescription drug plans, CMS says it will examine a plan's formulary list, pharmacy and therapeutics committee operations,...

  • Many or few? CMS weighs regions for Medicare. Otrompke, John // Drug Topics;8/23/2004, Vol. 148 Issue 16, p60 

    The notice-and-comment period for setting up service areas for two programs, Medicare Advantage and Medicare Part D, closed on August 4, 2004. The U.S. Centers for Medicare and Medicaid Services (CMS) is to consider the options and public feedback until late fall and produce a final rule in...

  • Pharmacy to CMS: Medicaid rule is recipe for disaster. Paul, Reid // Drug Topics;1/22/2007, Vol. 151 Issue 2, p34 

    The article focuses on the proposed rule of the Centers for Medicare & Medicaid Services under the provisions of the Deficit Reduction Act of 2005 (DRA) concerning the five-year period Medicaid generic drug reimbursement. The DRA covers the modification of the formula for calculating federal...

  • To Cover or Not to Cover? Vining, David // Imaging Economics;Jul2009, Vol. 22 Issue 6, p34 

    The article presents the author's perspectives regarding the importance of virtual colonoscopy in the U.S. The author asserts that the decision of the Centers for Medicare and Medicaid Services to deny the use of virtual colonoscopic treatment because of the perceived health risks it provides to...

  • New HIPAA Security Guidance Papers Released.  // Information Management Journal;Sep/Oct2005, Vol. 39 Issue 5, p11 

    This article reports on Health Insurance Portability and Accountability Act (HIPAA) Security Education Papers that are available from the U.S. Centers for Medicare and Medicaid Services (CMS) in September 2005. The guidance papers are designed to give HIPAA-covered entities insight into security...

  • Healthcare Costs To Take A Bigger Bite.  // RN;May2005, Vol. 68 Issue 5, p18 

    The article reports that spending on healthcare in the U.S. could reach $3.6 trillion by 2014, or nearly 19% of the gross domestic product, up from the current 15.4%. That's the projection given in a new report from the Centers for Medicare & Medicaid Services (CMS). In 10 years, per capita...

  • CMS Approves $10.6B, Three-Year Massachusetts Medicaid Waiver to Allow State to Continue Health Insurance Law.  // hfm (Healthcare Financial Management);Nov2008, Vol. 62 Issue 11, p13 

    The article reports on the $10.6 billion, three-year Massachusetts Medicaid waiver in 2008 granted by the Centers for Medicare & Medicaid Services that will allow the state to continue its health insurance law. It is noted that the waiver will allow the state to spend $21.2 billion over the next...

  • System changes prompt Medicare providers to pay attention to appeals. Leopard, Amy // Crain's Cleveland Business;1/9/2006, Vol. 27 Issue 2, p14 

    The article reports that the Centers for Medicare and Medicaid Services' final rule for the new Medicare claims appeals system substantially revises appeals rights for health care providers. At the same time, the administrative law judge appeals function is now being transferred from local...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics